| NPI | 1124507629 |
|---|---|
| Former Name | CASSANDRA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C1901993) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-03-10 |